Insurance Plan Information & Insurance FAQs

Mandel Dermatology accepts most major insurance plans, including Medicare.*

*Please note, our Boulder location currently only accepts Aetna, Cigna, Anthem Blue Cross Blue Shield, UnitedHealthcare, Medicare, and self-pay patients.  If you have an insurance plan not on this list, please contact us to discuss your options.


*Our Aspen location only accepts self-pay patients.

Insurance Q&A

  • What insurance plans do you accept?

    We're proud to accept most major insurance plans, including Medicare at all of our New York locations. 


    At our Boulder, CO location, we currently accept Aetna, Cigna, Anthem Blue Cross Blue Shield, UnitedHealthcare, Medicare, and self-pay patients. 


    To get a more comprehensive idea of which plans we accept and do not accept in our New York locations, see the list of plans below which we DO NOT accept. If you do not see your plan listed below, we likely participate with your insurance plan.

    • State Medicaid plans
    • United Healthcare Community, Compass, Charter, or Core Essential
    • Emblem Health Enhanced Care Prime
    • Blue Cross Blue Shield "Guided Access" "Pathway Enhanced" or the back of the card will say "HealthFirst" or ID plans starting with "JLJ" as the first three letters
    • AffinityBenefit Medicaid
    • Child Health Plus
    • Family Health Plus
    • Medicare Complete Choice Syracuse
    • Oxford Mosaic
    • Evercare
    • First Health
    • HealthFirst (accepted in NYC but not Long Island)
    • Health Plus
    • Emblem Health Medicaid
    • Emblem Long Term Management Medicaid
  • I want to be seen at your Boulder location. What is the self-pay rate?

    If you have Aetna, Cigna, Anthem Blue Cross Blue Shield, UnitedHealthcare, or Medicare, we accept your insurance. 


    If you do not have one of the above listed insurance plans: For first time medical patients, the office visit fee is $250. For retruning medical patients, the office visit fee is $150. 


    If you are coming in for a cosmetic visit (e.g. Botox, Filler, HydraFacials, etc.) you will only be charged the treatment price (or a consultation fee if not treatments is received). There is no additional office visit fee. Cosmetic consultation fees are $100, and the $100 remains on your account as a credit to be applied to any future treatment at our office.

  • I want to be seen at your Aspen location. What is the self-pay rate?

    At our Aspen location, while we do not curently accept insurance, our self-pay rates are affordable and competitive. 


    For new patients visiting us for a general/medical visit, the office visit fee is $350 (reduced to $250 through March 2024) or $250 for follow-up visits.


    There may be additional costs for procedures, and cosmetic pricing can be viewed on our upfront pricing page >>

  • Do I need a referral?

    To determine if you need a referral, please check the front and back of your card for text stating "referral"  or "authorization" requirements to see a "specialist."


    Dermatologists are considered a specialists, so if a referral or authorization is needed it may list it on your card.


    Please keep in mind that sometimes this information is not listed on your card and you must call your insurance company to confirm if you need a referral. 


    If you show up for an appointment without a referral or authorization and your plan requires one, you may not be able to be seen.

  • Which plans might need a referral or authorizations?

    Here you go! These are some plans that often require referral or authorization. Please keep in mind this is not an exhaustive list, and we suggest calling your insurance plan ahead of time to confirm if you are unsure of your plan's requirement(s).

    • Emblem HIP - always requires a referral to be seen unless the card specifically states otherwise
    • Healthcare Partners - all procedures require authorization before they are preformed
    • Oxford / United Healthcare - check the back of the card for "referral required or no referral required"
    • Aetna - check the back of the card and call your plan information line to see if your plan requires one (many student plans require authorization)
    • HealthFirst (Accepted in NYC ONLY) - must call to find out if visit/codes require authorization
  • What is my copay?

    Copays are determined by your specific plan. Please check your card for copay information, or call the number on the back of your card. You'll want to check for "specialist" copay to see what it would cost to see the dermatologist. Keep in mind, you may also be subject to co-insurance, or a deductible.

  • Will I pay more than my copay?

    Sometimes! If your plan has a deductible that has not yet been met, you may be required to pay more out of pocket once your insurance company processes your visit. To be sure of the potential costs to a visit, please contact your insurance company.

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